title: Fontan operation for the Cantrell syndrome using a clamshell incision.
abstract: A median sternotomy could be difficult for a child with ectopia cordis and complex congenital cardiac anomalies. We report a patient with ectopia cordis, functionally single ventricle and bilateral superior vena cava, who underwent a staged Fontan procedure through a clamshell incision and the sternothoracotomy approach.
authors.affiliation: Department of Cardiovascular Surgery, Mt. Fuji Shizuoka Children's Hospital, Shizuoka, Japan.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Ito
authors.forename: Noritaka
authors.initials: N
authors.lastname: Ota
authors.forename: Masaya
authors.initials: M
authors.lastname: Murata
authors.forename: Kisaburo
authors.initials: K
authors.lastname: Sakamoto
mesh_terms: D000015:Abnormalities, Multiple; D002648:Child; D054083:Ectopia Cordis / Q000175:diagnosis / Q000601:surgery*; D018729:Fontan Procedure; D006352:Heart Ventricles / Q000002:abnormalities / Q000601:surgery*; D006801:Humans; D008297:Male; D056346:Sternotomy / Q000379:methods*; D013577:Syndrome; D013908:Thoracotomy / Q000379:methods*; D016896:Treatment Outcome; D014683:Vena Cava, Superior / Q000002:abnormalities / Q000601:surgery*
keywords: Bilateral superior vena cava; Cantrell syndrome; Ectopia cordis; Fontan operation; Functional single ventricle